USPSTF Update

[Cyclingrealtor]

Over 6 years later the USPSTF has yet to update the screening guidelines and we're seeing more and more men show up with mets and distant mets.

The USPSTF is such a sham group of "experts in disease prevention" mitigating the financial exposure and demand on the Industrialized Healthcare Complex. Since the ACA was enacted the USPSTF gained power to create screening guideline recommendations for primary care.

While Dr. David Grossman with Kaiser Permanente was on the panel of the 2012 group he led the 2018 USPSTF Recommendations.

When you read the 2018 recommendations it states, "Current results from screening trials show no reductions in all-cause mortality from screening."

Released concurrently with the 2018 USPSTF Recommendations was Kaiser Permanente's study of 400K of their own patient population that stated there's a 64% reduction in prostate cancer related death and a 24% reduction in all cause mortality with annual screening. And the 2018 Recommendations also stated the other narrative of "over treatment" has no empirical evidence to quantitify how much over treatment there is, but yet this is the narrative still regurgitated.

At the end of the day we can see the games that are played by the USPSTF to mitigate the Industrialized Healthcare Complex's exposure to prostate cancer screening. The ACA was another big sham that did nothing but build in easier profits by moving to an evidence based system where the "experts" get to interpret the evidence how they choose.

Sadly, until we get an appropriate screening recommendation in place will we get ahead of this disease. In the interim, you're an acceptable loss!

[NanoMRI]

I easily imagine many men in this group would like a screening do-over - I certainly would.

I did annual screenings in my 40's despite the guidelines suggesting otherwise, but missed my cancer for at least several years because of the misinformation that stems from the guidelines and circulates in the medical community and press. Damn the USPSTF!

Excellent write-up and explanation!

[dentaltwin]

This is what happens when population-based screening GUIDELINES are applied to individuals.

When the USPSTF issued its notorious 2012 grade D to PSA screening, the chairperson was Virginia Moyer--a pediatrician. I remember at the time this was considered a good thing--we wouldn't want someone with actual experience diagnosing or treating PCa passing judgment on screening--oh, no, no!

[Cyclingrealtor in reply to dentaltwin]

You are 💯% correct.

Virginia Moyer tried to slow down breast cancer screening and it ended up in congress and was rolled back.

The USPSTF recommendation about everything is based on the new care and delivery models set up in the Affordable Care Act. Evidence based medicine, evidence based studies, evidence based practices, shared decision models, decision aids, best practices, etc.

This new approach to managing healthcare in the US was nothing but a money grab by the Industrialized Healthcare Complex.

In spite of the 50 - 85% contamination rate of the control arm of the PLCO trial, it provided the USPSTF and Industrialized Healthcare Complex the data they needed to stop a population based screening recommendation. And I am quite sure the Industrialized Healthcare Complex is quite happy with the financial mitigation provided by the USPSTF panel that included Dr. David Grossman with Kaiser Permanente who went on to retire soon after his 2018 USPSTF recommendation.

Grossman is a highly distinguished doctor at the Kaiser Permanente Bernard Tyson School of Medicine.

Grossman delayed a solid recommendation another 6+ years with his C recommendation as Chairman of the 2018 USPSTF.

At that time Kaiser Permanente was still developing their proprietary KP Prostate Cancer Risk Calculator. Any bets that the 2024 update may include the use of a Risk Calculator?

As stated in the post, Kaiser Permanente produced their own study that showed SIGNIFICANT benefit of annual screening. It was with Dr. Paul Alpert, a retired KP urologist, urologic expert witness and former KP Medical Legal Chief.

In addition, Kaiser Permanente has the largest population of prostate cancer in their home state of California.

Any incentive for KP to be involved in the creation national healthcare policy regarding the steering of prostate cancer?

[j-o-h-n]

My wife says "I'm gaining on being a loss"....

Good Luck, Good Health and Good Humor.

j-o-h-n

[Inspjones]

Thank you for pointing out the flaws of the USPSTF. They are a disgraceful group of "bean counters" who only care about saving the healthcare industry money at the expense of the quality of life of individuals. In fact, they hardly consider quality of life issues in their misguided calculations. Instead they push a false narrative about the "harms" of screening, "over treatment", and other BS. We deserve better.